NPI 1174693196

Clearwater Vein Care Center PC

Organisation Specialist Lewiston, ID

Practice location

Address: 3316 1/2 4th St Suite 4b, Lewiston, ID 83501-4460
Phone: (208) 798-7600
Fax: (208) 798-7602

Authorised official

Name: Alan G Muench
Title: President
Phone: (208) 798-7600

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MD00045914 (ID)

Other Specialist providers in Idaho →

Registry record

NPI: 1174693196
Entity type: Organization
NPI issued: 8 Nov 2006
Record last updated: 16 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.